Current strategies for preventing renal dysfunction in patients with heart failure: a heart failure stage approach

AUTOR(ES)

Issa, Victor Sarli, Andrade, Lucia, Bocchi, Edimar Alcides

FONTE

Clinics

DATA DE PUBLICAÇÃO

2013

RESUMO

Renal dysfunction is common during episodes of acute decompensated heart failure, and historical data indicate that the mean creatinine level at admission has risen in recent decades. Different mechanisms underlying this change over time have been proposed, such as demographic changes, hemodynamic and neurohumoral derangements and medical interventions. In this setting, various strategies have been proposed for the prevention of renal dysfunction with heterogeneous results. In the present article, we review and discuss the main aspects of renal dysfunction prevention according to the different stages of heart failure.

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